home *** CD-ROM | disk | FTP | other *** search
-
-
-
- P C F I L E M A S D I R
- --------------------------
-
- Version 1.10
- --------------
-
-
- R E G I S T R A T I O N F O R M
- -----------------------------------
-
- Please complete all information and return this form along with
- your check or money order in US funds payable to:
-
- Mini Data Systems, Inc. P.O. BOX 641634, Kenner, LA 70064
-
- COD's and purchase orders, unless prepaid will not be accepted.
-
- US $40.00
- + 3.50 shipping and handling
- ---------
- US $43.50 (U.S. and Canada)
-
- US $45.00
- + 5.50 shipping and handling
- ---------
- US $50.50 (International)
-
- FIRST NAME _____________________________
-
- MIDDLE NAME _____________________________ (if any)
-
- LAST NAME _____________________________
-
- COMPANY NAME _____________________________ (if any)
-
- SHIPPING ADDRESS __________________________________
- (please do not use a P.O. Box)
-
- SHIPPING ADDRESS _________________________________
-
- APT. or SUITE #___________
-
- CITY _________________________________
-
- STATE _________________ ZIP CODE ____________
-
- COUNTRY ________________________________
-
- TELEPHONE NUMBER (_____)____________________
-
-
- SIGNATURE____________________________________ DATE_____________
-
- - PC File MasDir, Version 1.10 - REGISTER.DOC -
-